Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. ASHLEE MACK AGACNP, PMHNP
NPI 1942811682
Nurse Practitioner in Indianapolis, IN

Active since August 16, 2020PECOS Enrolled
4333 VILLAGE TRACE CT, INDIANAPOLIS, IN 46254(463) 222-9605(317) 342-8372 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2026, Jul 7, 2026, Jun 2, 2025 and 5 more (8 updates tracked since 2020).

About Mrs. Ashlee Mack Agacnp, Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ASHLEE MACK AGACNP, PMHNP (NPI 1942811682) is an individual nurse practitioner in Indianapolis, Indiana, licensed in Indiana (71011610A) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942811682
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. ASHLEE MACKCredential: AGACNP, PMHNP
Location Address4333 VILLAGE TRACE CTIndianapolis, IN 46254-6232
Mailing Address4333 Village Trace CtIndianapolis, IN 46254-6232 · (317) 652-9627 · Fax (317) 342-8372
Fax(317) 342-8372
Sole ProprietorYes
Enumeration DateAugust 16, 2020
Last NPPES UpdateOctober 8, 20268 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1942811682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71011610A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 71011610A (IN)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 71011610A (IN)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 71011610A (IN)
4333 VILLAGE TRACE CT, Indianapolis, IN 46254

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ashlee Mack Agacnp, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

10

Medicare enrollment records show Ashlee Mack reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Psychiatric/Mental Health
4333 VILLAGE TRACE CT
Indianapolis, IN 46254
  • Reassigned Medicare billing, Indiana enrollment
Family Medicine
2001 W 86TH ST
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 510 clinicians in this Medicare group
Family Medicine
429 E VERMONT ST STE 110
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 45 clinicians in this Medicare group
Family Medicine
8900 KEYSTONE XING STE 540
Indianapolis, IN 46240
  • Reassigned Medicare billing, Indiana enrollment
  • 50 clinicians in this Medicare group
Psychiatry
9465 COUNSELORS ROW STE 200
Indianapolis, IN 46240
  • Reassigned Medicare billing, Indiana enrollment
  • 8 clinicians in this Medicare group
Geriatric Medicine
600 E CARMEL DR STE 144
Carmel, IN 46032
  • Reassigned Medicare billing, Indiana enrollment
  • 9 clinicians in this Medicare group
Psychiatry
833 PARK EAST BLVD
Lafayette, IN 47905
  • Reassigned Medicare billing, Indiana enrollment
  • 16 clinicians in this Medicare group
Adult Mental Health
465 BIELBY RD
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Indiana enrollment
  • 86 clinicians in this Medicare group
Nurse Practitioner
3000 N HALSTED ST STE 803
Chicago, IL 60657
  • Reassigned Medicare billing, Indiana enrollment
  • 67 clinicians in this Medicare group
Internal Medicine
1521 ALTON RD STE 221
Miami Beach, FL 33139
  • Reassigned Medicare billing, Indiana enrollment
  • 23 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
981 services151 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
78 services74 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46254 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$15.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$69.95 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$24.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
4333 VILLAGE TRACE CT
INDIANAPOLIS, IN 46254

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashlee Mack's NPI number?

The NPI number for Ashlee Mack is 1942811682. It was assigned to this individual provider in the NPPES registry on August 16, 2020.

Where is Ashlee Mack located?

Ashlee Mack practices at 4333 Village Trace Ct, Indianapolis, IN 46254. The listed phone number is (463) 222-9605.

What is Ashlee Mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ashlee Mack enrolled in Medicare?

Yes. Ashlee Mack is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ashlee Mack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashlee Mack reassigns Medicare benefits to 10 organizations: Macnificent Minds (Indianapolis, IN), St Vincent Physician Services Hospital And Health Care Center (Indianapolis, IN), My Mobile MD LLC (Indianapolis, IN), Grace Divine, LLC (Indianapolis, IN), Bcs Of Indiana, LLC (Indianapolis, IN) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashlee Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashlee Mack accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Ashlee Mack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashlee Mack was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.